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General NPI Number Information
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NPI Number | 1851640221
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Entity Type | Individual
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Provider Name | JASON D SCHOENER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 10397 HALSEY RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8210
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Country | US
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Telephone | 810-695-8081
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 94 BOX 2014
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City | APO
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State | AE
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Zip | 09824-0021
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Country | US
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Telephone | 314-676-8650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401413467
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License Number State | VA
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